We all experience stress in our lives. Sometimes we feel more stressed than
at other times. Stress is anything that the person sees as stressful. It is like pain, if
an individual states they have pain, then they have pain. If an individual perceives a
situation as stressful, then it is stressful. Stress is self-defined.

Stress is associated with difficult events or situations. Events such as loss of a
drivers license, death of a loved one, and being hospitalized are indeed stressful
events or stressors. In these instances stress is associated with negative situations. But
remember: stress can be elicited from happy occasions as well. Going on vacation, moving
to a retirement community, or visits from family can also produce stress. These times
might be happily anticipated, but can be fraught with feelings of anxiety and stress. Will
everything go well? Are all the plans set? Have I packed everything I need?

We all know that big events in our lives can be stressful. Death of a child or being
audited by the IRS are strong and well understood stressors. These stressors mark profound
changes in our lives to which we must adjust. Along with the big stressors, the little
daily hassles can also take their tool. Situations such as, being a passenger in a car
with an erratic driver, having your refrigerator breakdown, getting an unexpected bill,
suffering from chronic discomfort or pain, completing the myriad number of forms needed
for Medicare, taxes, and insurance are everyday stresses we all face. These smaller
chronic, long term stressors can be just as debilitating as a single large event.

Stress is associated with illness and a decreased feeling of well being. Individuals
who are stressed have a greater chance of becoming ill. Some chronic diseases are
associated with increased levels of stress, such as, arthritis, gastric ulcers, and heart
attack. We need to find ways to decrease the effect of the stressor and/or we need to
decrease the number of stressful events.

Tips to Reduce Stress

ASSESS WHAT IS STRESSFUL - The first step in getting a handle on stress is to know what
are the stressors and potential stressors in your life. Take a good look at your daily
activities. What is can be identified as stressful? In a research study of healthy older
adults, we found that concern for world conditions was the most common stressor. While
concern for world conditions, may not rate as a stressor that are highly stressful, it
does place stress on some individuals. Examine at the list of the 20 most common stressors
identified by individuals over 65 in our research. Are you experiencing any of these?

Concern for world conditions

Slowing down

Decreasing number of friends or losing old friends

Time with children or grandchildren too short

Feeling of remaining time being short

Thinking about your own death

Change in your sleeping habits ( such as ability to fall or stay asleep, change in place
of sleep, etc.)

ELIMINATE AND/OR MINIMIZE STRESSORS - After listing all the stressors, think of which
ones you can eliminate or do something about. Talk to other people, friends, family, and
clergy. Ask for help to look at the list and determine which stressors you can eliminate
and/or minimize.

If you have frequent discomfort or pain seek assistance from the pain management team
at one of your health care facilities. Pain is not a natural accompaniment to growing old
and paid often has its own treatable cause. With current advances in this area, it is
usually not necessary to live with this constant stressor.

If you are having difficulty with getting to sleep or staying asleep, try not to fret
about this situation. Adhere to a consistent bedtime routine. Go to bed at the same hour
and have a warm drink before going to bed. Try to avoid naps. Do not drink fluids,
caffeine and excessive alcohol in the evening. It must likewise be understood that some
people do not need as much sleep as others. If you find yourself in this situation, plan
for soothing activities to help you back to sleep or that use the wakeful time in a
pleasant manner.

PLAN AHEAD - Plan ahead because it often it takes longer than you would think to get a
plane reservation, make a doctors appointment or cook a meal for friends. Ahead of
the actual date, make plans for how the task will be accomplished. Make a list of what
needs to be done and schedule each task. Then stick to the schedule. If you are traveling,
lay out the clothes for packing well in advance so the last minute stress is decreased.

If you are giving care to a loved one you need time for yourself. Planning time away
from the care giving activities requires forethought and exploration of resources
Determine if there are resources in your community for home maker assistance or respite
care. Make specific plans for your time away so that you come back refreshed.

DEVELOP A NETWORK OF FRIENDS - Loss constitutes much of the stress in the lives of
older individuals. Much of this loss is of friends, loved ones, and even pets. Feelings of
loneliness or aloneness can be a chronic stressor. Thinking ahead of how to assure a
steady stream of friends and caring individuals who can provide support. Joining a
religious group, participating in political action committees, joining a senior
citizens group, or volunteering at a local hospital can be a positive experience.
Some communities have self-help groups that meet to offer assistance to group members.
Self-help groups focus on circumscribed areas of concern, such as, Alzheimer caregiver
support, cancer care or death and bereavement. Do not rely only upon a small select set of
friends. Expand you mind and your opportunity to have contact with others.

SPREAD OUT THE STRESSORS - Stressors grouped together increase the level of stress and
have a cumulative effect on the health and well being of the individual. Think of ways to
spread out the events or situations that are stressful to you. While it may not be
possible to plan for all the eventualities in your life, some events or situations that
are stressful may be postponed. If you are planning a two-week vacation, this may not be
the time to also have your family to the house for dinner. If your husband or wife dies,
it may be wise to wait a year to sell the house and move to another location. If your
spouse is entering the hospital, accept help with shopping or housekeeping.

Each stressor is additive and the more stressors in your life the higher is the level
of stress. Plan for ways to decrease the number of stressors and the impact of each
stressor in your life.